Individual
BRANDI LEIGH DURRENCE-PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1250 S 18TH ST, FERNANDINA BEACH, FL 32034-1902
(904) 261-9106
(904) 277-3611
Mailing address
1250 S 18TH ST, FERNANDINA BEACH, FL 32034-1902
(904) 261-9106
(904) 277-3611
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN134365
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000971066B
—
GA
05
—
000971066H
—
GA
05
—
308366700
—
FL
Enumeration date
03/02/2006
Last updated
09/23/2010
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